A novel technique using a StarClose device via a combined contralateral anterograde and ipsilateral retrograde approach successfully achieved hemostasis in an iatrogenic femoral pseudoaneurysm refractory to manual compression and balloon tamponade.
Answers are grounded in this paper and cite their sources.
May offer bailout after failed compression and tamponade in femoral pseudoaneurysm; leaves open safety and efficacy in prospective series.
Femoral artery Pseudoaneurysm was caused at the puncture site of the right groin after diagnostic coronary angiography. Manual compression for 48 hours was administrated but failed then balloon tamponade was attempted for hemostasis at the aneurysmal site but hemostasis was not achieved. Next, using contralateral anterograde approach was use to cross the wire from the neck of the pseudoaneurysm and ipsilateral retrograde approach by direct puncture of the pseudoaneurysm was tried. A 0.014-inch guidewire was crossed from the neck of the pseudoaneurysm to the external iliac artery. The wire was replaced with a 0.035-inch guidewire. A star close device was inserted and was deployed at the neck of the pseudoaneurysm. Final angiography revealed completion of hemostasis.
No takes yet. Share an insight, caveat, or question.
Mohammed Habib (2023) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: